Recent progress in developing ATR inhibitors as anticancer agents
Shaohua Hou1, Yu Sun1, Lingyun Zhou1
1School of Pharmacy, Wannan Medical College, Wuhu 241002 Anhui, PR China.
Abstract:
DNA damage response (DDR) pathways are crucial for ensuring the stability of the genome.The ataxia telangiectasia mutated and Rad3-related (ATR) kinase plays a central role in orchestrating the DDR, responding to DNA damage and replication stress (RS), and facilitating G2/M and S checkpoint arrest, which initiates DNA repair processes. ATR has gained attention as a potential target for cancer treatment, with numerous ATR inhibitors has been the subject of clinical research at present. ATR inhibitors demonstrate potent antitumor effects as standalone agents and exhibit synergistic effects with conventional chemotherapy, radiotherapy, immunotherapy, and other DDR inhibitors. In this review, we summarize reported ATR inhibitors and highlight the structural optimization strategies employed in their design, with a focus on structure-activity relationships, biological activity, ligand binding modes, and pharmacokinetic (PK) properties. This analysis provides valuable insights for the development of more potent and selective ATR-targeting compounds. Furthermore, we discuss recent advances in the clinical evaluation of specific ATR inhibitors and outline key challenges that remain in their future development.
Insights
The ataxia telangiectasia mutated and Rad3-related (ATR) kinase is vital for genome stability and cancer treatment. This review details ATR inhibitors, their design, and clinical progress for enhanced cancer therapies.
Area of Science:
- Molecular Biology
- Genetics
- Pharmacology
Background:
- DNA damage response (DDR) pathways are essential for maintaining genome stability.
- The ataxia telangiectasia mutated and Rad3-related (ATR) kinase is a key regulator of DDR, responding to DNA damage and replication stress.
- ATR plays a critical role in cell cycle checkpoint control, initiating DNA repair processes.
Purpose of the Study:
- To review current ATR inhibitors and their structural optimization strategies.
- To analyze structure-activity relationships, biological activity, binding modes, and pharmacokinetic properties of ATR inhibitors.
- To discuss recent clinical advancements and future challenges in ATR inhibitor development for cancer treatment.
Main Methods:
- Literature review of published ATR inhibitors.
- Analysis of structure-activity relationships (SAR) and ligand binding modes.
- Evaluation of biological activity, pharmacokinetic properties, and clinical trial data.
Main Results:
- Numerous ATR inhibitors have been developed, showing potent antitumor effects alone and synergistically with other therapies.
- Structural optimization has led to improved potency and selectivity.
- Clinical evaluation of specific ATR inhibitors is ongoing, with promising preliminary results.
Conclusions:
- ATR inhibitors represent a promising therapeutic strategy for cancer treatment.
- Understanding SAR and PK properties is crucial for designing next-generation ATR inhibitors.
- Further clinical research is needed to overcome challenges and optimize the use of ATR inhibitors in oncology.
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